What is the reason for my horrible puffy eyes & dark circles? (Photo)
Doctor Answers 3
Cause of puffy lower eyelids
Modern techniques for removal of eye bags includes a trans-conjunctival blepharoplasty, removal of the protruding fat, grafting of the fat into the depression below the eyelid and a skin tends to remove excess loose eyelid skin. Please consult an expert board certified plastic surgeon.
Eyes bags that are always puffy are due to lower eyelid fat prolapse. They can be removed with no visible trace of surgery
The lower eyelid puffiness that’s always persistent is called lower eyelid fat prolapse. Lower eyelid fat prolapse has nothing to do with body fat - it’s a genetic tendency for fat that’s normally around the eyes to push forward and create a bulge. Since it’s a physical volume, topical treatments such as creams, ice, cucumber slices and tea bags don’t work.
In our practice, for a young male who doesn’t have extra skin we usually do a procedure called transconjunctival blepharoplasty. Transconjunctival blepharoplasty is a method of addressing the fat pockets by reducing and repositioning them from the inside of the eyelid. This way, no external scar is seen and the intrinsic natural shape of the eye is retained. In fact, our patients feel that they look younger, their face looks brighter and there’s no way someone looking at them could ever tell that they had surgery. I also caution my male patients also that unlike women who routinely wear make-up, men are just not comfortable in doing any cover up. By avoiding an external incision, they don’t have anything to cover up. You may get a little bit of bruising, yellowing and discoloration for a week but that’s basically it. We focus a lot on quick recovery so we do the procedure under local anesthesia with LITE™ IV sedation.
In addition, it’s routine in our practice to use something called platelet-rich plasma. Platelet-rich plasma is derived from your own blood and has many growth factors that help improve skin quality. It is a great combination with our lower eyelid blepharoplasty or transconjunctival blepharoplasty.
At this point, I think you should meet with cosmetic surgeons and look for someone who has a lot of experience with this type of surgery. Do a lot of research and find a doctor that you click with and trust. Once you meet with the doctor that clicks with you, then move forward with the procedure. I think that you have a great weight taken off of your mind when having the puffiness under your eyes reduced. I hope that was helpful, I wish you the best of luck, and thank you for your question.
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